11. Post op recovery management
• Mechanicl vent for 2 days
• Drain output gradually reduced
• Pneumovac given
• Patient went into DIC with deranged
PT & APTT
• FFPs and platelets transfused
• 7 blood transfusions done gradually
• Stoma started working on 2nd POD
12. Cont….. management
• Patient gradually reovered
• Urine output remained satistory
• Wound….healthy
• Stitches out on 11th POD
• Patient discharged home on 13th POD
24. Focused Assessment with Sonography
in Trauma FAST
• FAST examines
four areas for
free fluid:
– Morrison’s Pouch
– Perisplenic
– Pelvis
– +/-Pericardium
26. How good is FAST? FAST
• As a decision making tool for identifying
the need for laparotomy in hypotensive
patients (Systolic BP < 90), FAST has:
• a sensitivity of 92%,
• specificity of 96%
• Accuracy 93%
• How good is FAST?
53. Take home message
‘Multidisciplinary approach required
for management of polytrauma
patient involving general
surgeon,urlogist,orthpedic
surgeon,anesthetist,radiologist etc’